湿性老年性黄斑变性有哪些症状?

    我患有干性黄斑变性,最近视力变差了。可能是湿性黄斑变性吗?

    如果您的视力有任何变化,请及时去看眼科医生。湿性黄斑变性的症状通常会突然出现,并迅速恶化,在数天至数周内快速加剧视力减退。症状可能发生在一侧眼睛或两侧眼睛中。

    湿性黄斑变性的初期症状通常是:
    • 视觉畸变,如直线好像变弯曲或曲折
    • 视野中有明显的模糊点或盲点
    症状还可能包括:
    • 单眼或双眼中心视力减退
    • 症状突然出现且迅速恶化

    随着视力的严重下降,一些患者可能出现幻视(邦纳综合征)。例如,您可能会“看到”其实并不存在的单调或复杂的颜色、形状、人物、地点或物体。这是因为虽然大脑不再从眼睛接收视觉信号,也可能试图填补空白。这些视觉幻觉通常在一两年内停止出现。

    黄斑变性不影响侧面(周边)视力,因此不会导致完全失明。但是,失去清晰的中心视力会极大地影响您的生活,因为中心视力对于阅读、驾驶、准备食物和完成各种细节工作等日常任务至关重要。治疗可能有助于减缓视力减退进程,因此请及时向眼科医生报告任何视力变化。(4)除了医学治疗外,低视力康复治疗可以帮助您找到利用剩余视力的方法。

    1. AskMayoExpert. Age-related macular degeneration. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2018.
    2. Preferred practice pattern: Age-related macular degeneration. San Francisco, CA: American Academy of Ophthalmology; 2015. http://www.aao.org/preferred-practice-pattern/age-related-macular-degeneration-ppp-2015. Accessed Sept. 22, 2015.
    3. What is macular degeneration? American Academy of Ophthalmology. https://www.aao.org/eye-health/diseases/amd-macular-degeneration. Accessed Feb. 13, 2018.
    4. Facts about age-related macular degeneration. National Eye Institute. https://nei.nih.gov/health/maculardegen/armd_facts. Accessed Feb. 13, 2018.
    5. Mehta S. Age-related macular degeneration. Merck Manual Professional Version. http://www.merckmanuals.com/professional/eye-disorders/retinal-disorders/age-related-macular-degeneration-amd-or-armd. Accessed Feb. 13, 2018.
    6. Arroyo JG. Age-related macular degeneration: Clinical presentation, etiology, and diagnosis. https://www.uptodate.com/contents/search. Accessed Feb. 13, 2018.
    7. What is Charles Bonnet syndrome? American Academy of Ophthalmology. https://www.aao.org/eye-health/diseases/what-is-charles-bonnet-syndrome. Accessed Dec. 30, 2019.
    8. How is Charles Bonnet syndrome treated? American Academy of Ophthalmology. https://www.aao.org/eye-health/diseases/charles-bonnet-syndrome-treatment. Accessed Dec. 30, 2019.

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